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Hypertension, diabetes and poverty among Latinx immigrants in New York City: implications for COVID-19

Kamyar Arasteh (Department of Epidemiology, School of Global Public Health, New York University, New York, New York, USA)

International Journal of Migration, Health and Social Care

ISSN: 1747-9894

Article publication date: 1 March 2021

Issue publication date: 1 June 2021

168

Abstract

Purpose

The coronavirus disease (COVID-19) pandemic has affected Latinx immigrant neighborhoods in New York City (NYC) disproportionately. Poverty, hypertension and diabetes have been associated with adverse COIVD-19 outcomes. This study aims to assess the prevalence of these COVID-19 vulnerabilities among Latinx immigrants in NYC.

Design/methodology/approach

Data were obtained from the 2018 New York City Community Health Survey. The relation between Latinx immigrant status and study outcomes was assessed in univariate and multivariable regression models.

Findings

Latinx immigrants were 1.3 times (95% confidence interval: 1.2–1.5) more likely to have hypertension and 2.5 times (95% confidence interval: 1.9–3.2) to have diabetes, compared to the US-born Whites after adjusting for age. They were 46.5 times (95% confidence interval: 24.3–88.8) more likely to live in a neighborhood with high poverty, eight times more likely (95% confidence interval: 5.5–11.6) not to have had enough food in the previous six months and 1.4 times more likely (95% confidence interval: 1.2–1.6) to lack health insurance coverage, compared to the US-born Whites.

Practical implications

These findings highlight the greater vulnerabilities of Latinx immigrants in NYC to COVID-19 in the year prior to the pandemic. Poverty, food insecurity, hostile immigration policies and lack of access to health care exacerbate health disparities among Latinx immigrants in NYC.

Originality/value

This study provides a public health perspective for understanding the association of health disparities and socioeconomic conditions of Latinx immigrants in NYC.

Keywords

Acknowledgements

Compliance with ethical standards and conflict of interest declaration.The author declares no conflict of interest.This article does not contain any studies with human participants performed by the author. Retrospective data from the 2018 NYC CHS were used.

Citation

Arasteh, K. (2021), "Hypertension, diabetes and poverty among Latinx immigrants in New York City: implications for COVID-19", International Journal of Migration, Health and Social Care, Vol. 17 No. 2, pp. 208-241. https://doi.org/10.1108/IJMHSC-09-2020-0088

Publisher

:

Emerald Publishing Limited

Copyright © 2021, Emerald Publishing Limited

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